Individual
LISA PROCTOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
310 TAUGHANNOCK BLVD, ITHACA, NY 14850-3251
(607) 252-3590
Mailing address
110 VANWOERT RD, SPENCER, NY 14883-9721
(607) 589-6826
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
F430338
NY
Other
Enumeration date
04/17/2007
Last updated
02/21/2011
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